PHYLLIS R WEAR (NP) – Family Nurse Practitioner, NPI 1609363266

PHYLLIS R WEAR (NP) is a healthcare provider. based in Carthage, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 209017492 (IL). The NPI Number for PHYLLIS R WEAR (NP) is 1609363266

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
PHYLLIS R WEAR (NP)
NPI
1609363266
Phone
(217) 357-6512
Address
PO BOX 160
Enumeration Date
19 April 2018
Last Update Date
19 April 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2173578500
Graduation Year
2017 (9 years ago)
PAC ID
9638428469
Group Practice PAC ID
0244134682
Professional Enrollment ID
I20180827003718
Address ID
IL623210160CA1454XRDXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

11,637 NURSE PRACTITIONER in IL

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Provider Addresses for PHYLLIS R WEAR (NP)

  • PO BOX 160

    CARTHAGE, IL 623210160

    Phone: (217) 357-6512

    Fax: (217) 357-8564

    Type: Mailing

  • 209, East 5th Street, Bowen, Hancock County, Illinois, 62316, United States

    BOWEN, IL 623161130

    Phone: (217) 842-5211

    Fax: (217) 842-5202

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-08-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180827003718INurse PractitionerILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62321)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0244134682View full group profile
NameSpecialtyState
Nurse PractitionerIL
O B S T E T R I C S/ G Y N E C O L O G YIL
Family Practice, Geriatric MedicineIL
Nurse PractitionerIA
Physician AssistantIL
Nurse PractitionerIL
Orthopedic SurgeryIL
Nurse PractitionerIL
Family Practice, Emergency MedicineIL
Family PracticeIL

Reviews

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Frequently asked questions

What identifier follows PHYLLIS R WEAR (NP) across health systems?
The NPI 1609363266 uniquely identifies PHYLLIS R WEAR (NP) in U.S. healthcare data.
Is PHYLLIS R WEAR (NP) currently accepting referrals based on NPI status?
Registry metadata lists PHYLLIS R WEAR (NP) as active.
What services align with PHYLLIS R WEAR (NP)'s listing?
PHYLLIS R WEAR (NP)'s public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to PHYLLIS R WEAR (NP)?
PHYLLIS R WEAR (NP) is associated with Carthage, Illinois in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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